S82.56XD vs S92
S82.56XD (Nondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for closed fracture with routine healing) compared with S92 (Fracture of foot and toe, except ankle), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. S82.56XD carries an Excludes2 note covering S92: “fracture of foot, except ankle (S92.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. S92 carries an Excludes2 note covering S82.56XD: “fracture of ankle (S82.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. S92 carries an Excludes2 note covering S82.56XD: “fracture of malleolus (S82.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. S92 carries an Excludes2 note covering S82.56XD: “fracture of ankle and malleolus (S82.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S82.56XDNondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for closed fracture with routine healing | S92Fracture of foot and toe, except ankle | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S92.001A, S92.001B, S92.001D, S92.001G, S92.001K |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Nondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for closed fracture with routine healing is a billable ICD-10-CM diagnosis code (S82.56D). | Fracture of foot and toe, except ankle is a non-billable ICD-10-CM category code (S92). |
| 7th character | The appropriate 7th character is to be added to all codes from category S82 | The appropriate 7th character is to be added to each code from category S92 |
| Includes | fracture of malleolus | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources